| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,303 |
8,716 |
$645K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,981 |
2,900 |
$286K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
6,946 |
6,586 |
$275K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,685 |
2,372 |
$236K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,423 |
2,368 |
$230K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,595 |
1,562 |
$166K |
| 92567 |
|
11,622 |
10,440 |
$135K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,003 |
929 |
$94K |
| V5008 |
Hearing screening |
6,575 |
6,402 |
$89K |
| D1206 |
Topical application of fluoride varnish |
5,493 |
5,354 |
$71K |
| 99188 |
|
5,503 |
5,356 |
$62K |
| 92587 |
|
6,071 |
5,904 |
$55K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
2,179 |
2,133 |
$44K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
6,430 |
6,198 |
$43K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
4,005 |
3,741 |
$34K |
| 99058 |
|
1,335 |
1,261 |
$23K |
| 87070 |
|
4,016 |
3,746 |
$17K |
| 99383 |
|
113 |
108 |
$12K |
| 94760 |
|
11,343 |
10,189 |
$12K |
| 36416 |
|
2,915 |
2,821 |
$11K |
| 85018 |
|
7,521 |
7,320 |
$11K |
| 96127 |
|
1,833 |
1,789 |
$8K |
| 85014 |
|
7,521 |
7,317 |
$7K |
| 99381 |
|
65 |
63 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
327 |
311 |
$6K |
| 99384 |
|
51 |
48 |
$6K |
| 99382 |
|
34 |
33 |
$3K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
209 |
196 |
$3K |
| 87999 |
|
493 |
469 |
$2K |
| 89190 |
|
515 |
495 |
$2K |
| 94664 |
|
239 |
224 |
$1K |
| 90461 |
|
61 |
60 |
$988.16 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
19 |
18 |
$746.18 |
| J7699 |
Noc drugs, inhalation solution administered through dme |
122 |
115 |
$477.42 |
| 90680 |
|
768 |
740 |
$466.62 |
| 81002 |
|
255 |
239 |
$385.14 |
| 87807 |
|
51 |
49 |
$370.42 |
| A7004 |
Small volume nonfiltered pneumatic nebulizer, disposable |
209 |
196 |
$343.34 |
| 90670 |
|
1,490 |
1,432 |
$177.76 |
| 83655 |
|
24 |
24 |
$176.74 |
| 99000 |
|
4,271 |
3,981 |
$120.21 |
| 90710 |
|
746 |
729 |
$111.11 |
| 90698 |
|
846 |
805 |
$111.10 |
| 90633 |
|
1,055 |
1,023 |
$111.10 |
| 90686 |
|
1,823 |
1,733 |
$101.21 |
| 90744 |
|
659 |
629 |
$88.88 |
| 99001 |
|
4,126 |
3,838 |
$68.31 |
| 87081 |
|
37 |
36 |
$62.42 |
| J7609 |
Albuterol, inhalation solution, compounded product, administered through dme, unit dose, 1 mg |
176 |
166 |
$58.25 |
| 97802 |
|
2,450 |
2,393 |
$39.13 |
| S9451 |
Exercise classes, non-physician provider, per session |
2,448 |
2,391 |
$23.44 |
| 90713 |
|
172 |
172 |
$22.26 |
| A7015 |
Aerosol mask, used with dme nebulizer |
13 |
12 |
$10.84 |
| 90697 |
|
86 |
84 |
$0.11 |
| 90619 |
|
82 |
80 |
$0.06 |
| 90651 |
|
158 |
155 |
$0.04 |
| 90671 |
|
180 |
178 |
$0.03 |
| 90716 |
|
82 |
76 |
$0.00 |
| 90696 |
|
217 |
215 |
$0.00 |
| S3620 |
Newborn metabolic screening panel, includes test kit, postage and the laboratory tests specified by the state for inclusion in this panel (e.g., galactose; hemoglobin, electrophoresis; hydroxyprogesterone, 17-d; phenylalanine (pku); and thyroxine, total) |
13 |
13 |
$0.00 |
| 90656 |
|
77 |
77 |
$0.00 |
| 90648 |
|
273 |
267 |
$0.00 |
| 90734 |
|
325 |
315 |
$0.00 |
| 90715 |
|
195 |
191 |
$0.00 |
| 90700 |
|
423 |
416 |
$0.00 |
| 90672 |
|
126 |
114 |
$0.00 |
| 90707 |
|
90 |
84 |
$0.00 |